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Journal ArticleDOI

The right gastroepiploic artery graft: Clinical and angiographic midterm results in 200 patients

01 Apr 1993-The Journal of Thoracic and Cardiovascular Surgery (J Thorac Cardiovasc Surg)-Vol. 105, Iss: 4, pp 615-623
TL;DR: The gastroepiploic artery is a suitable conduit for coronary artery bypass grafting in terms of low surgical risk, high patency rate, and excellent patient outcome.
About: This article is published in The Journal of Thoracic and Cardiovascular Surgery.The article was published on 1993-04-01 and is currently open access. It has received 200 citations till now. The article focuses on the topics: Gastroepiploic Artery & Right gastroepiploic artery.
Citations
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Journal ArticleDOI
TL;DR: The major areas of change reflected in the update of the ACC/AHA Guidelines for Coronary Artery Bypass Graft Surgery are described in a format that can be read and understood as a stand-alone document.

1,805 citations


Cites background from "The right gastroepiploic artery gra..."

  • ...Early graft patency ranged from 90% to 100% (626-628), but long-term results have not been published....

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Journal ArticleDOI
TL;DR: The data suggest that use of the RA and the IEA in composite conduits for myocardial revascularization is feasible and can be safely used when bilateral internal mammary artery or sequential internal mammARY artery grafting is not advisable.

220 citations

Journal ArticleDOI
TL;DR: From October 1991 to May 1993, 130 patients were submitted to myocardial revascularization using complex preformed arterial conduits using free grafts and there was no operative mortality, and no inotropic or mechanical supports were used.

217 citations

References
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Journal ArticleDOI
TL;DR: It was found that patients who had only vein grafts had a 1.61 times greater risk of death throughout the 10 years, as compared with those who received an internal-mammary-artery graft.
Abstract: We compared patients who received an internal-mammary-artery graft to the anterior descending coronary artery alone or combined with one or more saphenous-vein grafts (n = 2306) with patients who had only saphenous-vein bypass grafts (n = 3625). The 10-year actuarial survival rate among the group receiving the internal-mammary-artery graft, as compared with the group who received the vein grafts (exclusive of hospital deaths), was 93.4 percent versus 88.0 percent (P = 0.05) for those with one-vessel disease; 90.0 percent versus 79.5 percent (P less than 0.0001) for those with two-vessel disease; and 82.6 percent versus 71.0 percent (P less than 0.0001) for those with three-vessel disease. After an adjustment for demographic and clinical differences by Cox multivariate analysis, we found that patients who had only vein grafts had a 1.61 times greater risk of death throughout the 10 years, as compared with those who received an internal-mammary-artery graft. In addition, patients who received only vein grafts had 1.41 times the risk of late myocardial infarction (P less than 0.0001), 1.25 times the risk of hospitalization for cardiac events (P less than 0.0001), 2.00 times the risk of cardiac reoperation (P less than 0.0001), and 1.27 times the risk of all late cardiac events (P less than 0.0001), as compared with patients who received internal-mammary-artery grafts. Internal-mammary-artery grafting for lesions of the anterior descending coronary artery is preferable whenever indicated and technically feasible.

2,536 citations

Journal ArticleDOI
TL;DR: Between 5 and 12 years after operation, the attrition rate of vein grafts greatly exceeded that of mammary artery grafts, and early vein graft patency was influenced by the coronary artery grafted and by angina.

903 citations

Journal ArticleDOI
TL;DR: The relatively scanty presence of smooth muscle cells in the thin-walled media of the internal mammary artery combined with a well-formed internal elastic lamina may be an important cause for its low susceptibility to atherosclerosis and a major determinant in its superior long-term patency as a coronary artery bypass graft.

378 citations

Journal ArticleDOI
TL;DR: Analysis of 1735 patients who underwent coronary artery bypass grafting from January 1981 through December 1988 revealed 152 patients with mild, moderate, or severe atherosclerosis of the ascending aorta, a inordinately high incidence of main left coronary disease, significant carotid disease, and abdominal aortic occlusive or aneurysm disease.

242 citations

Journal ArticleDOI
TL;DR: If its long-term patency as a living arterial graft is similar to that of the internal mammary arteries, the gastroepiploic artery may become the coronary bypass graft of choice for the distal right coronary and circumflex systems.

242 citations